Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $374.37 / $579.60 / $4,933.00	Facility		$374.37	$579.60	$4,933.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $271.70 / $410.30 / $579.60	Professional		$271.70	$410.30	$579.60
BCBS Facility/Professional Facility Modifier Low / Median / High Price $372.55 / $434.22 / $588.29	Facility		$372.55	$434.22	$588.29
BCBS Facility/Professional Professional Modifier Low / Median / High Price $81.61 / $321.02 / $533.97	Professional		$81.61	$321.02	$533.97
Cigna Facility/Professional Professional Modifier Low / Median / High Price $314.06 / $465.83 / $1,291.99	Professional		$314.06	$465.83	$1,291.99
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $451.87 / $2,877.00 / $4,933.00	Facility		$451.87	$2,877.00	$4,933.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $374.37 / $461.12 / $660.10	Professional		$374.37	$461.12	$660.10
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.28 / $427.40 / $615.75	Professional		$32.28	$427.40	$615.75
United Facility/Professional Facility Modifier Low / Median / High Price $773.00 / $3,005.00 / $4,594.00	Facility		$773.00	$3,005.00	$4,594.00
United Facility/Professional Professional Modifier Low / Median / High Price $456.35 / $526.75 / $685.18	Professional		$456.35	$526.75	$685.18